Inspection on 10/11/08 for Dove Court Nursing Home

This inspection was carried out on 10th November 2008.

CSCI found this care home to be providing an Adequate service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Dove Court Nursing Home 26/05/09

Dove Court Nursing Home 27/05/08

Dove Court Nursing Home 04/06/07

Dove Court Nursing Home 28/09/06

Dove Court Nursing Home 19/08/05

Dove Court Nursing Home 21/04/05

Dove Court Nursing Home 09/07/04

Dove Court Nursing Home 04/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Dove Court Nursing Home Albert Street Kettering Northants NN16 0EB The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Catherine Perrins Date: 1 0 1 1 2 0 0 8 Information about the care home Name of care home: Address: Dove Court Nursing Home Albert Street Kettering Northants NN16 0EB 01536484411 01536484410 dove.court@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Four Seasons Homes (No 4) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) care home 58 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability 0 0 0 10 Over 65 28 1 58 10 Conditions of registration: Dove Court Nursing Home is registered to provide personal care with nursing for male and female service users whose primary care needs fall within the following categories:- Old age, not falling within any other category (OP) 58 Physical disability over the age of 35 years (PD) 10 Physical disability over the age of 65 years (PD)(E) 10 Dementia over the age of 65 years (DE)(E) 28 No persons falling within the categories of PD or PD(EO are to be accommodated at Dove Court Nursing Home when there are 10 persons faling within these categories residing at the home Care Homes for Older People Page 2 of 8 No persons falling within the category of Dementia DE(E) are to be accommodated at Dove Court Nursing Home when there are already 28 persons falling within this category residing at the home Persons with dementia should only be accommodated on the ground floor at Dove Court Nursing Home To accommodate the person named in application reference number V34452 under the category MD(E) The maximum number of persons to be accommodated at Dove Court Nursing Home is 58 Date of last inspection Brief description of the care home Dove Court is a large, modern, purpose built home situated close to Kettering town centre. The home provides both nursing and residential care. There is a qualified nurse at all times. The home is on two floors. All room are single with en-suite facilities and there are additional assisted bathing and toilet facilities. There are several lounges and dining areas and a safe, enclosed garden and patio area, which is accessible to all residents including people who use wheelchairs. A Statement of Purpose, Service Users Guide & last Inspection Report are available. These provide information on how the home is organised and what services are provided. The last key inspection of the home was carried out on 27th May, 2008. At the time of the last inspection fees ranged from 341.55 to 591 pounds per week, dependant on the level of care required. There are extra charges for hairdressing, chiropody, newspapers and personal items. Care Homes for Older People Page 3 of 8 What we found: The inspection was arranged in response to issues from an investigation carried out by the Primary Care Trust following concerns raised by a relative of someone who stayed at Dove Court. The inspection focused on how the home meets peoples health care needs, in particular those relating to pressure area care. There were three requirements made of the home at the last key inspection. These were not all assessed on this visit but will be followed up at the next key inspection, or before if further information or concerns are received which suggests that the requirements have not been met. A new manager has recently been appointed to work at Dove Court. He was present during the inspection. He told us that he is going to register as the manager with the Commission for Social Care Inspection. During the inspection we looked in detail at the care provided to two people. One person who lives in the nursing wing of the home and one person who lives in the residential wing. We found that the home assesses the risk of each person developing pressure sores and, where a risk is identified, people have a pressure area care plan. This gives details to the staff on how to care for that person to reduce the risk of them developing pressure sores or, if they already have sores, how to help them get better. Peoples weight is monitored. One of the people whose care we looked at had lost weight. The home had not referred her to a dietitian although she had been seen by her general practitioner and had been prescribed a fortified drink to help her to maintain her weight. The food and fluids that people have are all recorded however, there was no indication of how much fluids each person should be having and staff did not seem clear about how much was recommended. Records show that people assessed to see if they are in any pain and if they are they are given appropriate pain relief. This is reviewed at least monthly. Records show that people are helped to change their position regularly. This is important to ease pressure areas. One persons care plan stated that this should happen at least every four hours and records showed that this was being done. There was no recommendation in the other persons file of how often they should move position although records showed that staff were assisting her every two or three hours. The manager stated that he was in the process of updating care plans and would ensure that such details were added without delay. People were seen using specialist equipment such as pressure relieving mattresses. Specialist dressings had been reordered to ensure an adequate supply. There was evidence that people were seeing tissue viability nurses and district nurses Care Homes for Older People Page 4 of 8 to monitor and assist with their pressure care. The home have a camera to record photographic evidence of pressure sores. This was however not working. The manager explained that he was aware of this and would ensure that a camera was available. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 7 12 (1) (a) (2) The residents plan of care 27/07/2008 & (3) should be drawn up with the involvement of the resident and signed and agreed by the resident and/or a representative (if any). Residents, who wish to do so, should be actively supported to participate in formulating their plan of care to ensure that all of their care needs are identified and met. 16 (m) Activities and lifestyle in the 27/07/2008 home should match the expectations and preferences of the residents, with particular reference to those residents with lower dependency needs (who may be overlooked) and for those residents who are wheelchair bound and need transport to get out and about. The Registered Provider must 27/06/2008 appoint a manager who will apply for registration. This is an outstanding requirement from June 2007. 2 12 3 31 8(1)(a) & 9(1) Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Care plans relating to pressure area care should contain details of how often a person requires to be turned to ensure that all staff are aware of the persons needs in this area. Care plans relating to fluid intake should contain details of how much fluid is recomended for the person to ensure that all staff are aware of the persons needs in this area. Photographic evidence of peoples pressure areas / sores should be kept on their personal files to show how the area / sore is responding to treatment. 2 7 3 8 Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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